Organization
PRESTIGE MANAGEMENT SERVICE CORP
Active
Other names
Prestige Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD A BAUGHMANE (PRESIDENT)
(724) 774-6990
Entity
Organization
Contact information
Practice address
638 PENNSYLVANIA AVE, ROCHESTER, PA 15074-1643
(724) 774-6990
(724) 774-6969
Mailing address
PO BOX 269, ROCHESTER, PA 15074-0269
(724) 774-6990
(724) 774-6969
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
02172
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012293180002
—
PA
01
—
1008874
GATEWAY HEALTH PLAN
PA
Enumeration date
06/21/2005
Last updated
08/22/2020
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